Abstract
Objective: To determine the frequency of feto-maternal complications among the cases referred to Shaikh Zaid Women Hospital, Larkana after unsuccessful trial of labor.
Methodology: This descriptive study was conducted at Departments of Gynecology and Obstetrics, Shaikh Zaid Women Hospital, Larkana from January 1 to June 30, 2019. A total of 120 cases referred to emergency after unsuccessful trial of labor were included in the study. Personal details and present symptomatology were recorded.
Results: The average age of the patients was 26.70 +/- 4.39 years. Fever was the most common complication found in 64.2% patients, followed by shock in 55.8 % and PPH in 4 9. 2 %. Oligohydramnios was observed in 37.5%, APH in 21.7% and uterine rupture in 6.7%. Low Apgar score was observed in 38.3% neonates, meconium staining in 33.3%, IUGR in 30.8% and there were 15.8% deaths.
Conclusion: Frequent maternal morbidity and its association with adverse perinatal outcome, suggests the need for tertiary care in developing for both mother and baby, along with provision of skilled birth attendant at doorstep will be an ideal solution.